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- W2001389969 abstract "In Brief Study Design. Case report. Objective. Describes a case report of a 16-year-old woman treated for adolescent idiopathic scoliosis (AIS) by anterior spinal fusion and instrumentation, who developed a spontaneous massive intrathoracic bleeding 10 months after surgery. Summary of Background Data. Hemothorax (HT) is a known rare postoperative complication of anterior spinal scoliosis surgery. However, spontaneous HT has never been described as a late complication, in relationship to diaphragm movement over the anterior instrumentation material. Methods. Retrospective case report. Results. A 16-year-old woman with Lenke type I AIS underwent a successful anterior spinal fusion with instrumentation. After surgery, there were no complications, however, she experienced a distressing grating sensation while breathing. Ten months after surgery, the patient developed a spontaneous HT that needed emergency surgery. Erosion of a small artery in the scar tissue around the most caudal screw of the instrumentation proved to be the cause of the late HT. Subsequent dynamic magnetic resonance imaging showed the relationship between the moving diaphragmatic muscles and the most caudal screws of instrumentation material during breathing. Sixteen months after the initial surgery, the anterior instrumentation was removed. Conclusion. Late spontaneous HT in patients with anterior fusion and instrumentation for AIS is a rare but life-threatening complication. We present a case of a 16-year-old woman with adolescent idiopathic scoliosis treated by anterior scoliosis surgery. The patient spontaneously developed an acute hemothorax 10 months after surgery. We considered that this complication was caused by erosion of the small diaphragmatic arteries around the caudal instrumentation material." @default.
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- W2001389969 date "2007-11-01" @default.
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- W2001389969 title "Late Spontaneous Hemothorax Complicating Anterior Spinal Instrumentation in Adolescent Idiopathic Scoliosis" @default.
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- W2001389969 doi "https://doi.org/10.1097/brs.0b013e31815a5a63" @default.
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